9

Reproduced at the National Archives

KELLOGG BLD3, 1416 F. ST.
WASHINGTON, d.c.
I. O. 1/9/59, 255 m
O.K.
Newton Jackson
Les. D. 18th Regn
US. Cold mf.
Claim.
Pension Act June 27, '90
Has been Med Examined
Please have adjudicated
Cyrus Bussey

ATTENTION
D. I. Murphy
First Deputy Commissioner.

FIRST DEPUT
JAN [ILLEG]
COMMIS